“Stuck between a Rock and a Hard Place”: How Mental Health Nurses’ Experience Psychosocial interventions in Irish Mental Health Care Settings

Smyth, Siobhán; Vries, Jan de; Rossetti, Jeanette; McCann, Edward

doi:10.1111/jpm.12702

Cited by 2 publications

(2 citation statements)

References 37 publications

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“…Moreover, in clinical practice, mentoring and incentives are required to ensure that what was learned will be consistently applied. Very often health-care organisations support training but provide little opportunities to put what is learned into practice ( Smyth et al , 2020 ; Sundberg et al , 2021 ). This is not surprising because the hierarchical leadership tradition, which dominates global health care often does not stimulate those not in management positions to show leadership ( Francis, 2013 ; Yuseon and Jiyeon, 2016 ).…”

Section: Discussionmentioning

confidence: 99%

Leadership and community healthcare reform: a study using the Competing Values Framework (CVF)

O'Neill

Vries

Comiskey

2021

LHS

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Purpose The Health Service Executive in Ireland seeks to further develop healthcare in the community. It has identified that this reform requires developing leadership amongst the staff. This study aims to identify what kind of leadership staff in community healthcare observe in practice and their leadership preferences. The core objective has been to identify the readiness of the organisation to implement the adopted national policy of integrated community care reform in terms of leadership development. Design/methodology/approach An online cross-sectional survey was conducted using the Organisational Cultural Assessment Instrument, based on the Competing Values Framework. This tool identifies four overarching leadership types: Clan (Collaborative), Adhocracy (Creative), Market (Competitive) and Hierarchy (Controlling). Participants (n = 445) were a representative sample of regional community health care employees. They were asked to identify presently observed leadership and preferred leadership in practice. The statistical analysis emphasised a comparison of observed and preferred leadership types. Findings Participants reported the current prevailing leadership type as Market (M = 34.38, SD = 6.22) and Hierarchical (M = 34.38, SD = 22.62), whilst the preferred or future style was overwhelmingly Clan (M = 40.38, SD = 18.08). Differences were significant (all p’s < 0.001). The overall outcome indicates a predominance of controlling and competitive leadership and a lack of collaborative leadership to implement the planned reform. Originality/value During reform in healthcare, leadership in practice must be aligned to the reform strategy, demonstrating collaboration, flexibility and support for innovation. This unique study demonstrates the importance of examining leadership type and competencies to indicate readiness to deliver national community health care reform.

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Section: Discussionmentioning

confidence: 99%

Leadership and community healthcare reform: a study using the Competing Values Framework (CVF)

O'Neill

Vries

Comiskey

2021

LHS

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“…In recent times, the importance of qualitative methods has been acknowledged in both the development and assessment of health interventions (Yardley et al, 2021). For this reason, researchers are increasingly exploring the perception of those involved to understand current practice and develop new and acceptable nursing interventions in different areas (Matthias et al, 2021;Smyth et al, 2021). Thus, the purpose of this qualitative study with clinical practice nurses in Portugal was to support the development of a nursing intervention programme to promote tracheostomy self-care, sensitive to the needs perceived by nurses and applicable in clinical settings.…”

Section: Introductionmentioning

confidence: 99%

Promotion of tracheostomy self-care: a qualitative study based on the nurses' perspective

Queirós¹,

Pinto²,

Brito³

et al. 2023

Cent Eur J Nurs Midw

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Aim: To describe nurses' perspectives on promoting tracheostomy self-care. There is little information on the nurses' perspective as care providers with knowledge of clinical contexts. Design: A qualitative descriptive study was conducted. Methods: A purposeful sample of nurses was selected from eight Portuguese hospitals. Recruitment ended once data saturation was reached (n = 12). Data were collected using semi-structured interviews and analysed through content analysis. Results: The nurses described the most important aspects to promote tracheostomy self-care, namely the objectives, the contents to be addressed, the methods and resources to be used, the appropriate moment to intervene, the necessary conditions to promote self-care, the way to ensure the standardisation of interventions among nurses, and the level of tailored planned interventions. Conclusion: From the nurses' perspective, promoting tracheostomy self-care is critical for regaining autonomy. Therefore, it is crucial to establish an intervention plan sensitive to individual needs and preferences. These results can help elucidate the aspects considered by nurses when promoting tracheostomy self-care so that more meaningful and feasible care models can be designed.

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“Stuck between a Rock and a Hard Place”: How Mental Health Nurses’ Experience Psychosocial interventions in Irish Mental Health Care Settings

Abstract: Increasing access to psychological therapies for people with psychosis: Predictors of successful training. Behaviour Research and Therapy 50(7-8), 457-462. Jorgensen R. (2006) A phenomenological study of fatigue in patients with primary biliary cirrhosis.

Cited by 2 publications

References 37 publications

Leadership and community healthcare reform: a study using the Competing Values Framework (CVF)

Leadership and community healthcare reform: a study using the Competing Values Framework (CVF)

Promotion of tracheostomy self-care: a qualitative study based on the nurses' perspective

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